Everyone is convinced that someone else is getting a better deal, that somewhere a horde of Kansans are gaming the system and preventing the truly needy from getting help. It’s a sentiment that Brownback eagerly exploits when attacking Medicaid expansion and other forms of public assistance. [more inside]
The Affordable Care Act was "put together by a bunch of elitists who don't really fundamentally understand the American people," said former DNC chair Howard Dean. A few years ago, Democratic Gov. Ted Strickland voiced concerns about Democrats' "intellectual elitism" and hesitancy to "talk using populist language." Republicans have long used accusations of elitism against Democrats as an electoral tactic. Did elitism lose the Democrats the 2014 midterms?
"Am I damning with faint praise? Not at all. This is what a successful presidency looks like. No president gets to do everything his supporters expected him to. FDR left behind a reformed nation, but one in which the wealthy retained a lot of power and privilege. On the other side, for all his anti-government rhetoric, Reagan left the core institutions of the New Deal and the Great Society in place. I don't care about the fact that Obama hasn't lived up to the golden dreams of 2008, and I care even less about his approval rating. I do care that he has, when all is said and done, achieved a lot. That is, as Joe Biden didn't quite say, a big deal." Paul Krugman (previously) writes "In Defense of Obama" for Rolling Stone.
Inside the Nightmare Launch of HealthCare.Gov - "Unknown to a nation following the fiasco, McDonough's assignment from the President had boiled down to something more dire than how to fix the site. As the chief of staff remembers his mission, it was 'Can it be patched and improved to work, or does it need to be scrapped to start over? He wanted to know if this thing is salvageable.' Yes, on Oct. 17, the President was thinking of scrapping the whole thing and starting over." (previously) [more inside]
As a result of new coverage under the ACA, many previously uninsured people in eastern Kentucky are giving the nation a glimpse of life under the new health care law.
"Obamacare horror stories" where innocent citizens are losing their insurance and being forced to pay astronomical costs for new plans on the exchanges are being reported by some media outlets. The problem is that most of these stories don't survive further scrutiny. [more inside]
It's time for Americans to gather around the dinner table, eat too much, and argue about politics! A new genre of Thanksgiving-themed web pages seems to be taking off this year, that being the "How to argue with your [opposite political party] family members at Thanksgiving" genre. From the left side of the political spectrum, the Democratic National Committee has launched "The Democrat's Guide to Talking Politics with Your Republican Uncle", and The Huffington Post chimed in with "Here's Every Argument You'll Need To Win Your Obamacare Debate This Thanksgiving". Not to be outdone, conservatives have responded with cheat sheets of their own, including RedState.com's "Thanksgiving dinner with your liberal relatives" and The Washington Examiner's "The Thanksgiving guide to making conservative arguments liberals can understand". [more inside]
John Hodgman posted about the ACA, which led his followers to tweet him about the various health problems they had encountered and the effect insurance or a lack thereof had to their lives. Hodgman retweeted many of the stories from people in their 20's and then posted 17 reasons for young people to get insured to his blog.
Happy Political Clusterf*ck Day (U.S.)! In one corner: the first federal government shutdown since 1996, born of the House GOP/Tea Party faction's crusade to delay, defund, and destroy Obamacare (and the Democratic Senate and President's resolve to not do that). "Continuing resolutions" have ping-ponged between the two houses, fighting over language to cancel healthcare reform (plus a few other items, such as the implementation of Mitt Romney's entire economic agenda). National parks are closed, contractors are hamstrung, and 800,000 federal workers furloughed until Speaker Boehner drops the "Hastert Rule" and passes a bill the other branches can agree to. In the other corner, heedless of the chaos (though not without glitches of its own): the official rollout of the Affordable Care Act and its state insurance exchanges. The portal at Healthcare.gov is your one-stop shop for browsing, comparing, and purchasing standardized, regulated insurance coverage with premium rebates, guaranteed coverage, and expanded Medicaid for the poor (in some states). A crazy day, overall -- but peanuts compared to what might happen if the debt ceiling is breached in 16 days. [more inside]
The Oregon Health Insurance Experiment, an outgrowth of Oregon's 2008 lottery to allocate Medicaid slots to eligible residents, has released their second year of results (Previous discussions on the lottery and the experiment). The gist of the results are that they found statisitically significant reductions in catastrophic health care expenditures, improvements in the incidences of depression, and increased use of health care services. They found minimal (and not statistically significant) improvements in the rates of physical health indicators (diabetes and hypertension) they tracked. Because of ethical concerns, there are no other randomized controlled tests on this scale that study the effects of Medicaid and few on the effects of health insurance in general (the only significant one being a RAND study released 30 years ago). Because of the small amount of information available on the topic and the impending Medicaid expansion offered by Affordable Care Act, this study has drawn a lot of attention from political commentators. This will presumably be the last year these results will be published, as the state of Oregon was able to find extra money in 2010 in order cover the rest of its Medicaid-eligible population. [more inside]
The Geography of Abortion Access - Forty years ago Tuesday, the Supreme Court ushered in legal abortion for American women when it decided in Roe v. Wade. Today, states—particularly in the South and Midwest—are eroding that right by legislating hundreds of provisions intended to impede access with burdensome obstacles. To understand more fully the complex state of access to abortion services in America, The Daily Beast identified and confirmed the location of the country’s remaining 724 clinics and calculated the distance from every part of the country to its closest clinic. (more)
In less than an hour, the Supreme Court will hand down its final judgment in what has become one of the most crucial legal battles of our time: the constitutionality of President Obama's landmark health care reform law. The product of a strict party line vote following a
year century of debate, disinformation, and tense legislative wrangling, the Affordable Care Act would (among other popular reforms) require all Americans to buy insurance coverage by 2014, broadening the risk pool for the benefit of those with pre-existing conditions.
The fate of this "individual mandate," bitterly opposed by Republicans despite its similarity to past plans touted by conservatives (including presidential contender Mitt Romney) is the central question facing the justices today. If the conservative majority takes the dramatic step of striking down the mandate, the law will be toothless, and in danger of wholesale reversal, rendering millions uninsured, dealing a crippling blow to the president's re-election hopes, and possibly endangering the federal regulatory state.
But despite the pessimism of bettors, some believe the Court will demur, wary of damaging its already-fragile reputation with another partisan 5-4 decision. But those who know don't talk, and those who talk don't know. Watch the SCOTUSblog liveblog for updates, Q&A, and analysis as the truth finally comes out shortly after 10 a.m. EST.
This morning marked day two of marathon proceedings in what's likely the most momentous and politically-charged Supreme Court case since Bush v. Gore: the effort to strike down President Obama's landmark health care reform law. While yesterday was a sleepy affair of obscure technical debate, today's hearings targeted the heart of the law -- the individual mandate that requires most Americans to purchase insurance by 2014. With lower courts delivering a split decision before today, administration lawyers held some hope that at least one conservative justice could be persuaded to uphold the provision, which amortizes the risk that makes universal coverage possible. But after a day of deeply skeptical questioning by swing justice Anthony Kennedy and his fellow conservatives [transcript - audio], the mandate looks to be in grave trouble, with CNN legal analyst Jeffrey Toobin going as far as calling the day "a train wreck" for the administration. But it's far from a done deal, with a third day of hearings tomorrow and a final decision not expected until June.
The GOP’s woman problem is that it has a serious problem with women. Frank Rich on George Stephanopoulos's unanswered question, how the Republicans have shifted to being the party of misogyny since the 70s, and why Mitt Romney would be just as bad as Rick Santorum.
Mary Brown, a 56-year-old Florida woman who owned a small auto repair shop but had no health insurance, became the lead plaintiff challenging President Obama's healthcare law because she was passionate about the issue. Brown "doesn't have insurance. She doesn't want to pay for it. And she doesn't want the government to tell her she has to have it," said Karen Harned, a lawyer for the National Federation of Independent Business. Brown is a plaintiff in the federation's case, which the Supreme Court plans to hear later this month. But court records reveal that Brown and her husband filed for bankruptcy last fall with $4,500 in unpaid medical bills. Those bills could change Brown from a symbol of proud independence into an example of exactly the problem the healthcare law was intended to address. [more inside]
In the summer of 2007 on the campaign trail Barack Obama took a clear stance on the controversial subject of medical marijuana. “I would not have the Justice Department prosecuting and raiding medical marijuana users. It’s not a good use of our resources.” As President in 2009 he took action to follow through on this promise by instructing federal prosecutors to “not focus federal resources in [their] States on individuals whose actions are in clear and unambiguous compliance with existing state laws providing for the medical use of marijuana.” The memo cited the “efficient and rational use” of the U.S. Department of Justice’s “limited investigative and prosecutorial resources,” as a motivating factor in the decision." In the winter of 2012 Rolling Stone magazine takes a look back on this subject and the record is surprising. "With more than 100 raids on pot dispensaries during his first three years, Obama is now on pace to exceed Bush's record for medical-marijuana busts. "There's no question that Obama's the worst president on medical marijuana," says Rob Kampia, executive director of the Marijuana Policy Project. "He's gone from first to worst." [more inside]
On the same morning that Dane County Circuit Judge Maryann Sumi struck down Wisconsin's infamous union-busting bill on the grounds that it violated the state's Open Meetings Law (PDF of decision, previously), Vermont Governor Peter Shumlin signed America's first state-level single-payer legislation into law. [more inside]
With the constitutionality of the Affordable Care Act being argued in lower courts, it's probably also worth looking at Vermont's adoption of single-payer health care: "On May 26, Gov. Peter Shumlin of Vermont is expected to sign legislation that will create universal coverage in the state—eventually. Vermont will use subsidies from the Affordable Care Act to help create a Canada-style system. And its system, or so the theory goes, will become so popular and cheap that the rest of America will want to copy it." [more inside]
HR 2, officially the "Repealing the Job-Killing Health Care Law Act", has passed in the U.S. House of Representatives with a vote of 245 to 189. 3 Democrats (Reps. Boren (OK), McIntyre (NC), and Ross (AR)) joined all 242 Republicans voting Aye. The bill will not be brought for a vote in the Senate, nor would it escape veto by President Obama. [more inside]
Per capita US spending on health care in 2008 exceeded $7500-- more than any other OECD nation, half again the spending of the runner-up [PDF], and double its spending in 1990. Why? Aaron Carroll of the Incidental Economist explains in 12 parts. [more inside]
Kabuki Democracy: Why a Progressive Presidency Is Impossible, for Now. And what we should do about it. (one-page link)
On July 1st, the US Department of Health and Human Services launched the website Healthcare.gov to explain changes that will occur by 2014 because of healthcare reform. It describes the reforms, and also suggests options for those who need insurance. Meanwhile, there are 80 signatures on a congressional petition by Rep. Steve King (R-IA) to repeal the bill via the House. The petition was started with the support of the Heritage Foundation.
It is not our role to take power. It is our role to make the powerful frightened of us. And that's what we've forgotten. Give up that dream! Chris Hedges talks neoliberalism and neofeudalism, the civil rights movement, Camden, Obama, Clinton, Tea Parties, moral nihilism, inverted totalitarianism and corpocracy, NAFTA, welfare reform, health care, labor, poverty, Yugoslavia, post-industrial capitalism, economic crisis, imperial collapse, socialism, and democracy, among other things. [more inside]
The Obama Coalition "These general findings suggest the possibility that the political strength of voters whose convictions are perhaps best described as Social Democratic in the European sense is reaching a significant level in the United States. With effective organization and mobilization, such voters are positioned to set the agenda in the Democratic Party in the near future."
Atul Gawande offers a way for health care to be improved through experimentation and pilot programs, much as agriculture was in 20th century
The Legacy of Billy Tauzin: Paul Blumenthal of the Sunlight Foundation details the complicated set of meetings that allowed the now retiring head of prescription drug lobby group PhRMA (derided in a popular Obama campaign spot) to secure influence on the health care bill in exchange for their endorsement. The White House officially announced its health care plan today. [more inside]
Newfoundland Premier Danny Williams (no stranger to Metafilter) has travelled to an unspecified location in the United States to have heart surgery.
Newfoundland Premier Danny Williams (no stranger to Metafilter) has travelled to an unspecified location in the United States to have heart surgery. [more inside]
You’re going to hire people to guard your sh*t, but you’re not going to give them health care. Vice has a long spoiler- and profanity-laden interview with The Wire creator David Simon, running the gamut from backstage Wire details to the media's obsession with "the Dickensian aspect" to his next series (set in New Orleans) to Joe Lieberman to this fight he almost got in at a concert one time. Via /Film.
The Senate votes to bring health care bill (text in an amendment) to floor, 60-39. Major concessions extracted by holdout senators. Other analysis here and here. Differences between this and the House bill.
What kind of health insurance would you have as a federal government employee? The Office of Personnel Management would like to help you decide among the gazillion plan choices you have. Perhaps you are a Congress member? Then head on down to the Attending Physician of the United States, "It's one of the, quote, benefits of being in Congress," Kagen said. "They have physicians and nurses that will see you on the spot, on the beck and call." (link to single page print version). [more inside]
Ma'am, trying to have a conversation with you would be like trying to argue with a dining room table - I have no interest in doing it! Congressman Barney Frank confronts a woman at a town hall meeting who compared Obama to Hitler.
How American Health Care Killed My Father After the needless death of his father, the author, a business executive, began a personal exploration of a health-care industry that for years has delivered poor service and irregular quality at astonishingly high cost. It is a system, he argues, that is not worth preserving in anything like its current form. And the health-care reform now being contemplated will not fix it. Here’s a radical solution to an agonizing problem. (via mr) [more inside]
A simple question shows how complex the issue is. Chris at "Cynical C" asks his fellow citizens where they get thier health care (insurance) from and the incredible diversity of the current options and situations is immediately apparent. Quite spontaneously (but surely not unexpectedly), the question of "How much does it cost you?" becomes an essential part of the answers. Outsiders opine and tell stories and commiserate. [more inside]
Can You Spot a Lobbyist? Who made up the bulk of the audience when Congress began work on health care reform legislation? Lobbyists, according to this photo ID-crowdsourcing project, part of Dollar Politics, a new NPR investigative series. Bill Moyers shines some sunlight too, with Some Choice Words for 'The Select Few.'
Single-payer health care advocates arrested at Senate hearing. On May 5, 2009 advocates of a U.S. national health care program disrupted a Senate Finance Committee event to call for single-payer healthcare to be part of the discussion. The eight protesters were subsequently arrested. The protesters included representatives of Physicians for a National Health Program, which favors the The United States National Health Care Act, H.R. 676. Committee Chair Max Baucus (D - Montana), who has received more money in contributions from health insurance companies than any other member of Congress, favors requiring Americans to purchase private health insurance from those companies. Baucus, who has previously said that single-payer is "off the table," responded to the doctors and their fellow activists with, “I want you to know I care deeply about your views," and then, "we need more police [to eject protesters]."
What's wrong with primary care in the US? With a new survey suggesting that nearly half of all primary care physicians would leave medicine if they had a viable alternative, and with American medical schools not generating nearly enough new doctors going into primary care, in this, their first issue to hit doctors' desks since the election, the New England Journal of Medicine has devoted their entire editorial section to exploring yet another challenge that threatens the stability of the US health care system. Video of the roundtable discussion. Individual essays, at times touching, at times hopeful, from various primary care perspectives in the US and Britain. [more inside]
The Stakes, 2008. Eight of the Washington Monthly's contributing editors "consider the looming challenges that America is likely to face—in the economy, education, the courts, and other areas—during an Obama or McCain presidency, and how, based on what we know about the two men, they are likely to handle them." [more inside]
The state of Oregon is holding a health insurance lottery where 91,000 hopeful enrollees will be competing for a couple thousand spots under the Oregon Health Plan, the state's Medicaid program. OHP was created to cover those who made too much to enroll in traditional Medicaid but too little to afford market healthcare, and this development comes as a result of budget cuts and a subsequent enrollment closure in July of 2004. It's a far cry from the universal health care coverage that the plan was suppose to lead to, and marks a dramatic turn for the state's once-ambitious health care reforms.
(Previously in dystopic health care developments)
(Previously in dystopic health care developments)
The Economic Consequences of Mr. Bush. "The next president will have to deal with yet another crippling legacy of George W. Bush: the economy. A Nobel laureate, Joseph E. Stiglitz, sees a generation-long struggle to recoup." [Via Firedoglake.]
Millions of uninsured children in this country. Even with public assistance, they teeter on the brink of a catastrophic illness. What's the answer? Elect Susie!
California's Governor Seeks Universal Care: Under a plan by Gov. Arnold Schwarzenegger, California would become the largest state to attempt to provide near universal health coverage.
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